Other common contributing factors to hand and wrist injuries include movements in which the wrist is deviated from neutral posture into an abnormal or awkward position, working for too long period without allowing rest or alternation of hand and forearm muscles; mechanical stresses to digital nerves from sustained grasps to sharp edges on instrument handles, forceful work and extended use of vibratory instruments.

The factors that contribute to the pain may include prolonged sitting posture, poor postures, exposure to wholebody vibration, long driving time, heavy lifting, manual materials handling behaviour, poor diet or other psychosocial factors [7].

The effects of poor posture are associated with a wide variety of health problems, including back and neck pain, poor respiratory and digestive function, as well as low mood, self-confidence and concentration.

All the subjects were inquired if they developed neck pain during study activities and after keeping the neck flexion posture for [greater than or equal to] 2 hours or < 2 hours and if the pain radiated to the arms or interfered with sleep.

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